Teen Pregnancy in the Panhandle

Transcription

1 Teen Pregnancy in the Panhandle Jamie L. Moore WHNP-BC Department of State Health Services Health Service Region 1

2 Health Service Region 1 Teen pregnancy rate (ages 13-17) Most recent 2009 statistics Texas 24.7 HSR Potter 38.6 Randall 14.9 Texas consistently ranks as one of the top three with the highest teen pregnancy rates in the nation. To surpass the rate in Texas is significant knowing only one or two other states have higher rates

3 Monitor/QA MCH grants Family planningpreventing teen pregnancy Tremendous cuts in funding Monitor availability of services- clinic closures Monitor and make available local statistics Prenatal- dealing with teen pregnancy

4 Statistics can put one to sleep

5 Statistics can overwhelm

6 Statistics can drive one crazy

7 Sometimes, what you find is unexpected

8 Warning-Comparing apples to oranges (kittens to rabbits) Teen pregnancy rate Teen birth rate Can effect rankings Ages *DSHS statistical reports Ages Theoretically should be close but there are differences- spontaneous loss and elective loss Look a lot alike but not the same

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10 Texas-Rankings for teen birth ranked 3 rd Mississippi, New Mexico, Texas, Oklahoma ranked 3 rd Mississippi, New Mexico, Texas, Oklahoma ranked 1st Texas,???? Teen birth ratesages ranked 2 nd Mississippi, Texas, Arizona, Arkansas ranked 1 st Texas, New Mexico, Mississippi, Arkansas

11 Looking at teen birth rates

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13 2008/2009

14 Looking at the United States vs. selected European Counties Pregnancy rate

15 Birth rates

16 The teen abortion rate in the U.S. is almost eight times higher than in Germany.

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18 Percent of Total Births Births to Teens in Potter & Randall Counties 9 8 Potter Texas Randall Year of birth

19 Lets bring the statistics down to more manageable bite sizes

20 Lets look at the last five years comparing the teen pregnancy rate for teens ages for Potter County to that of the state, and our region

21 Teen pregnancy rates-potter County 2005 Texas 25.9 HSR Potter Texas 26.0 HSR Potter Texas 26.3 HSR Potter Texas 26.2 HSR Potter Texas 24.7 HSR Potter 38.6 It has consistently exceed both the sate and regional rates Had a nice dip in 2008 and back up in =54.1

22 Actual number of teens pregnant and outcomes 2004 Actual number teens pregnant: 170 births Teens giving birth:159 Teen abortions: Actual number teens pregnant: 163 births Teens giving birth: 153 Teen abortions: 9 Fetal deaths to teens: 1 (Potter County) 2005 Actual number teens pregnant: 180 births Teens giving birth: 162 Teen abortions: 16 Fetal deaths to teens: Actual number teens pregnant: 176 births Teens giving birth: 168 Teen abortions: 7 Fetal deaths to teens: Actual number of teens pregnant 142 Teens giving birth:135 Teen abortions: Actual number of teens pregnant 157 Teens giving birth: 151 Teen abortions: 6

23 Births to mothers 17 years of age and younger by race- Potter County 2008 Total births:135 White: 29 Black:17 Hispanic: Total births: 151 White: 28 Black: 25 Hispanic: 98

24 Percent of the total births that were to mothers 17 years of age or younger by race- Potter County 2008 Total births: 135 (6.1%) White: 29 (3.0%) Black:17 (7.8%) Hispanic: 89 (8.7%) 2009 Total births: 151 ( 6.6%) White: 28 (2.8%) Black: 25 (9.0%) Hispanic: 98 (9.7%) The denominator for percent is all births for which mother s age was reported by race and age The denominator for percent is all births for which mother s age was reported by race and age When you break it down by percent you get difference picture as well

25 Lets look at Potter County in comparison to some of the larger metropolitan cities in the state for the year 2009 related to teen pregnancy rates Plus a few of comparable size

26 Comparative data to other counties year 2009 Teen pregnancy rate (age 13-17) Potter 38.6 Dallas 29.6 Bexar (San Antonio) 28.4 Harris (Houston) 27.4 Lubbock 35.0 El Paso 31.9 Taylor (Abilene) 27.8 Travis (Austin) 24.9 Texas 24.7 Tarrant (Ft Worth) 22.2 Wichita Falls 24.4

27 Comparative data to other counties 2008 Potter County Teen pregnancy rate (age 13-17) Texas 26.1 Potter 34.2 *Odessa (Ector) 49.5 El Paso 32.2 Dallas 32.0 Bexar (San Antonio) 30.6 *Lubbock 37.6 Midland 33.1 Travis (Austin) 26.7 Taylor (Abilene) 27.8 Wichita Falls 26.4 Harris (Houston) 27.8 Smith (Tyler) 21.0 Tarrant (Ft Worth) 23.6 Galveston 21.0 * at least a few other counties had a bigger problem in 2008

28 Comparative data to other counties Ector (Odessa) 46.7 Potter 41.9 Lubbock 37.0 Dallas 33.0 Midland 31.2 El Paso 31.2 Bexar (San Antonio) 30.0 Wichita (Wichita Falls) 29.0 Travis ( Austin) 28.5 Harris (Houston) 27.7 Texas 26.3 Taylor (Abilene) 24.7 Tarrant (Ft Worth) 23.9 Smith (Tyler) 23.0 Galveston 20.4 Teen pregnancy rate (age 13-17)

29 Lets identify the top 15 counties intexas with highest teen pregnancy rates for the year 2009 Note: Potter ranked 47 th of 254 counties

30 Teen pregnancy rates by county for teens age 13-17, of 15 top counties in 2009 were in our public health region., Swisher- Tulia; Dickens- Dickens; Crosby-Crosbyton; Deaf Smith- Hereford; Roberts-Miami; Castro-Dimmitt live births female population Kenedy (1) (5) Swisher 84.3 (21) (249) Dickens 69.0 (4) (58) Crocket 63.4 (9) (142) Crosby 63.0 (16) (254) Zavala 60.8 (32) (526) Knox 60.2 (8) (133) Gonzales 59.5 (37) (622) Brooks 59.2 (17) (287) Reeves 58.0 (24) (414) Deaf Smith 56.4 (43) (762) Roberts 55.5 (1) (18) Uvalde 52.8 (55) (1,042) Castro 52.8 (15) (284) McMullen 52.6 (1) (19)

31 Teen pregnancy rates by county for teens age 13-17, next 15 live births Briscoe- Silverton Sherman- Stratford Hale-Plainview King- Matador female population Crane 51.9 (8) (154) Briscoe 51.7 (3) (58) Kleberg 51.1 (43) (842) Terrell 50.0 (2) (40) Sherman 49.2 (6) (122) Ector 49.0 (216) (4,876) Ward 49.0 (17) (347) Martin 48.8 (10) (206) Pecos 48.1 (26) (540) Hale 47.9 (64) (1,337) Hardeman 47.2 (6) (127) King 45.5 (1) (22) Jim Hogg 44.8 (9) (201) Zapata 44.7 (28) (627) Karnes 44.5 (20) (449) Potter was 47th Potter 38.6 ( 157) (4,071)

32 Top 30-for the most part decent size communities live births female population Kenedy (1) (5) Swisher 84.3 (21) (249) Dickens 69.0 (4) (58) Crocket 63.4 (9) (142) Crosby 63.0 (16) (254) Zavala 60.8 (32) (526) Knox 60.2 (8) (133) Gonzales 59.5 (37) (622) Brooks 59.2 (17) (287) Reeves 58.0 (24) (414) Deaf Smith 56.4 (43) (762) Roberts 55.5 (1) (18) Uvalde 52.8 (55) (1,042) Castro 52.8 (15) (284) McMullen 52.6 (1) (19) live births female population Crane 51.9 (8) (154) Briscoe 51.7 (3) (58) Kleberg 51.1 (43) (842) Terrell 50.0 (2) (40) Sherman 49.2 (6) (122) Ector 49.0 (216) (4,876) Ward 49.0 (17) (347) Martin 48.8 (10) (206) Pecos 48.1 (26) (540) Hale 47.9 (64) (1,337) Hardeman 47.2 (6) (127) King 45.5 (1) (22) Jim Hogg 44.8 (9) (201) Zapata 44.7 (28) (627) Karnes 44.5 (20) (449)

33 Teen pregnancy rankings- first through six 1st 2nd 3rd Kenedy Swisher Dickens Crockett 4th 5th 6th Crosby Zavala

34 7th 8th 9th Knox Gonzales Brooks 10th 11th 12th Reeves Deaf Smith Roberts

35 13th Uvalde 14th Castro 15th McMullen

36 Of the top highest counties in the state of Texas for teen pregnancy rates,10 of the top 30 were in our region But have to be cautious of numbers in small communities

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38 Potter County rankings over time- Teen pregnancy rates of 254 counties of 254 counties of 243 counties 254 counties in Texas. These numbers reflect where Potter falls among those 254 counties. This is where you want a big number not a small one of 254 counties of 254 counties of 254 counties of 254 counties of 254 counties of 254 counties

39 Potter County Includes the communities of Amarillo 2010 Population: 122,019 (Anglo 48.6%, Black 9.9%, Hispanic 37.2%) Teen Pregnancy (age 13-17) Year Teen Pregnancy Rate (TPR) State Rank out of 254 counties Texas TPR Pregnant Teens (actual number) Teen Births (age 13-17) Year Total Live Births Teen Births (actual number) Percent Births to Teens Texas Teen Births , % 4.7% , % 4.9% , % 4.9% , % 4.9% , % 4.9% Teen Births % Race/Ethnicity Year Total Teen Births White Black Hispanic % 16.6% 64.9% % 12% 66% % 13% 62% % 17% 57% % 15% 60% Infant Mortality and Low Birth Weight (all maternal ages) Year Infant Mortality Rate (per 1,000) Texas (IMR) (per 1,000) Percent Low Birth Weight Texas Low Birth Weight % 8.5% % 8.4% % 8.4% % 8.5% % 8.3% Source: DSHS Center for Health Statistics Page 1 only

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41 Analogy A new national record for the fastest time in the 100 yard dash is published But it you are the last or next to the last to finish the race every year, even if your times are getting faster, there is much to be done to feel good about your race or Qualify for the state tournament, but 207 of the 254 runners cross the line ahead of you- got to change you strategy to win

42 Lets take a look at Randall County

43 Randall County Rankings for teen pregnancy (254 counties) Teen pregnancy rate= (births +fetal deaths+ abortions/female population of age group* of of of of of of 254

44 Actual number of teens pregnant and outcomes ( Randall County) 2005 Actual number teens pregnant: 50 births Teens giving birth: 44 Tees abortion: Actual number teens pregnant: 67 births Teens giving birth: 56 Teen abortion: Actual number teens pregnant: 48 births Teens giving birth: 40 Teen abortion: Actual number of teens pregnant 53 Teens giving birth: 46 Teen abortions: Actual number of teens pregnant 59 Teens giving birth: 52 Teen abortions: 7

45 Randall County break down teen births by race teens gave birth 22 Caucasian 1 Black 21 Hispanic

46 Randall County break down teen births by race teens gave birth 32 Caucasian 2 Black 22 Hispanic

47 Randall County break down teen births by race teens gave birth 19 Caucasian 2 Black 19 Hispanic

48 Randall County break down teen births by race teens gave birth 25 Caucasian 3 Black 18 Hispanic

49 Randall County break down teen births by race teens gave birth 30 Caucasian 2 Black 20 Hispanic

50 teens gave birth 22 Caucasian 1 Black 21 Hispanic teens gave birth 32 Caucasian 2 Black 22 Hispanic teens gave birth 19 Caucasian 2 Black 19 Hispanic teens gave birth 25 Caucasian 3 Black 18 Hispanic teens gave birth 30 Caucasian 2 Black 20 Hispanic Randall County

51 Percent of the total births that were to mothers 17 years of age or younger by race- Randall County 2008 Total births: 46 (2.9%) White: 25 (2.1%) Black:3 (6.4%) Hispanic: 18 (5.8%) 2009 Total births: 52 ( 3.3%) White: 30 (2.5%) Black: 2 (3.8%) Hispanic: 20 ( 5.7%) The denominator for percent is all births for which mother s age was reported by race and age The denominator for percent is all births for which mother s age was reported by race and age

52 Births to Mothers 17 years and younger - By Race and Ethnic Group: Randall Total White+Other Black Hispanic Year Number Percent Number Percent Number Percent Number Percent * * * * Again, % versus numbers one gets a different picture than just looking at numbers. We see a shift in higher % for Hispanic

53 Randall County Includes the communities of Canyon, Umbarger, Bushland, part of Amarillo 2010 Population: 120,725 (Anglo 78.2%, Black 2.4%, Hispanic 16.4%) Teen Pregnancy (age 13-17) Year Teen Pregnancy Rate (TPR) State Rank out of 254 counties Texas TPR Pregnant Teens (actual number) Teen Births (age 13-17) Year Total Live Births Teen Births (actual number) Percent Births to Teens Texas Teen Births , % 4.7% , % 4.9% , % 4.9% , % 4.9% , % 4.9% , % 5.0% Teen Births % Race/Ethnicity Year Total Teen Births White Black Hispanic % 3.8% 38.5% % 7% 39% % 5% 47% % 3% 40% % 2% 48% Infant Mortality and Low Birth Weight (all maternal ages) Year Infant Mortality Rate (per 1,000) Texas (IMR) (per 1,000) Percent Low Birth Weight Texas Low Birth Weight % 8.5% % 8.4% % 8.4% % 8.5% % 8.3% Page 1 only Source: DSHS Center for Health Statistics

54 Rate per 1,000 Randall County Teen Pregnancy (ages 13-17) 35 Randall County Texas Year

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56 Take a look a little deeper in the drawer

57 Potter county for 14 years 2009 total births- 2,452 TPR TP-157 TB-151 AB total births- 2,353 TPR TP-142 TB-135 AB total births- 2,206 TPR TP-176 TB-168 AB-7 FD total births- 2,251 TPR TP-163 TB-153 AB-9 FD total births -2,332 TPR TP-180 TB-162 AB-16 FD total births- 2,406 TPR TP-170 TB-159 AB total births- 2,200 TPR TP-172 TB-164 AB total births- 2,129 TPR TP-191 TB-176 AB-13 FD total births- 2,182 TPR TP-195 TB total births -2,245 TPR TP-197 TB total births- 2,167 TPR TP-196 TB total births- 2,053 TPR TP-217 TB total births- 2,025 TPR TP-202 TB total births- 2,144 TPR- teen pregnancy rate, TP- teens pregnant TB- teens giving birth AB- teen abortions, FD- fetal deaths

58 Randall county for 13 years Yr 2009 total births-1,586 TPR TP-59 TB-52 AB-7 Yr 2008 total births-1,695 TPR TP-53 TB-46 AB-7 Yr 2007 total births-1,590 TPR TP-48 TB- 40 AB-8 Yr 2006 total births-1,512 TPR TP-67 TB-56 AB-11 Yr 2005 total births-1,420 TPR TP-50 TB-44 AB-6 Yr 2004 total births-1,365 TPR TP-49 TB-44 AB-5 Yr 2003 total births-1,413 TPR TP-56 TB-45 AB-11 Yr 2002 total births-1,383 TPR TP-58 TB-47 AB-11 Yr 2001 total births-1,284 TPR TP-52 TB-43 Yr 2000 total births-1,200 TPR TP-62 TB-52 Yr 1999 total births-1,229 TPR TP-75 TB-59 Yr 1998 total births-1,336 TPR TP-87 TB-65 Yr 1997 total births-1,344 TPR TP-73 TB-59 Yr 1996 total births 1,280 TPR- teen pregnancy Rate, TP- teens pregnant TB- teens giving birth, AB- teen abortions

59 Too many statistics!

60 Caution on stats Never just look at a single year or two Watch the numbers, percents, and rates The more years you have the better Differentiate between teen pregnancy and teen birth information

61 Available: The teen pregnancy rates by county for the top 26 counties of the Texas Panhandle and their rankings Next few slides

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66 Perspective: Lets look at some counties with some observable items that stand out Let s look at some counties that have shown a change, but have enough numbers to look at. Lets look at counties that have the greater numbers of teen pregnant

67 Rank Texas Region County Deaf Smith- 762 female Population age (43) (28) (28) (31) (32)

68 761 female population ( ages13-17) Rank Texas Region County (32) Hutchinson (23) (13) (18) (25) (19)

69 861 female population ages Rank Texas Region County (26) Moore (41) (33) (22) (29) (26)

70 Rank Texas Region County Population Crosby County (16) (5) (18) (20) (11) (14) (18)

71 Swisher 249 female teen population ages Rank Texas Region County (21) (12) (5) (11) (10)

72 Rank Texas Region County Randall (59) (48) (67) (50) (49)

73 Myth: pregnancies are counted in the county they deliver They are reported by county of residence.

74 May have raised more questions than we answered today Jamie Moore WHNP-BC Texas Department of State Health Services, Health Service Region 1 Jamie.moore@dshs.state.tx.us

75 Where do we go from here?xxxxxxxxxx

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77 Jamie Moore WHNP-BC Texas Department of State Health Services, Health Service Region 1 jamie.moore@dshs.state.tx.us